Undo all straps and the two the hook and loop fastener strips. Please put the two enclosed small synthetic plates between the strap and the strap tracking. Pull the straps back toward the back so that they will not interfere with you putting on the brace. Now put your leg into a 45-degree angle flexion position. Wrap the brace tightly around your leg from the back and close it with the two the hook and loop fastener strips. Make sure that the kneecap is positioned centrally in the space for the patella. Position the brace so that the middles of the hinges are level with the upper border of the kneecap and just behind the lateral centre line of the leg. First fasten the lower calf strap in the front and then the lower calf strap in the back. Now fasten the upper thigh strap and remove the small synthetic plates. In the following, close the strap directly below the kneecap in the front and then the corresponding strap in the back. Finally, close the one remaining lower thigh strap and also remove the small synthetic plate. If possible, walk a few steps to check that the brace is in the correct position. Please adjust the position as required.
Only change the extension and flexion limits on instruction from your doctor or orthotist. In order to prevent hyperextension, always insert extension stops or 0° stops. The stops define the exact excursion of the orthosis. In difficult soft-tissue conditions, e.g. where the soft-tissues are under com press ion, it may be necessary to insert a larger stop to limit the joint movement to the desired excursion. In addition, make sure that the orthosis hinges are correctly positioned: the middles of the hinges should be in one line with the upper border of the patella. The hinge must lie behind the midline of the leg.